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  5. SOLACE BEHAVIORAL HEALTH, LLC

SOLACE BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: SOLACE BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jan 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Jun 2018 (7 years ago)
Document Number: L12000006682
FEI/EIN Number 45-4276141
Mail Address: 19103 AVENUE BAYONNES, LUTZ, FL, 33558, US
Address: 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653, US
ZIP code: 34653
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023609740 2021-01-27 2024-01-26 4800 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US 4800 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US

Contacts
Phone +1 727-483-5912
Fax 7273763652

Authorized person
Name PAIGE GRAY
Role CREDENTIALING SPECIALIST
Phone 3526785550

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 454276141 2024-07-09 SOLACE BEHAVIORAL HEALTH LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 7274956979
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 120, BROOKSVILLE, FL, 34601

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 454276141 2023-07-10 SOLACE BEHAVIORAL HEALTH LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 7274956979
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 226, BROOKSVILLE, FL, 34601

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 454276141 2022-07-12 SOLACE BEHAVIORAL HEALTH LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 8139660177
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 226, BROOKSVILLE, FL, 34601

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 454276141 2021-07-12 SOLACE BEHAVIORAL HEALTH LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 454276141 2020-07-13 SOLACE BEHAVIORAL HEALTH LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401 K PROFIT SHARING PLAN TRUST 2018 454276141 2019-10-10 SOLACE BEHAVIORAL HEALTH LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH 401K PLAN 2017 454276141 2018-07-26 SOLACE BEHAVIORAL HEALTH 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621112
Sponsor’s telephone number 3526785550
Plan sponsor’s address 17222 HOSPITAL BLVD., SUITE 116, BROOKSVILLE, FL, 34601

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing TANVEER A CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing JUDITH S CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH 401K PLAN 2016 454276141 2017-07-31 SOLACE BEHAVIORAL HEALTH 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621112
Sponsor’s telephone number 3526785550
Plan sponsor’s address 17222 HOSPITAL BLVD., SUITE 116, BROOKSVILLE, FL, 34601

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing TANVEER A CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing JUDITH S CHAUDHRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chaudhry Judith S Agent 4424 Tuner Bend, Land O lakes, FL, 34638

Manager

Name Role Address
CHAUDHRY TANVEER AM.D. Manager 4424 Tuner Bend, LAND O'LAKES, FL, 34638

Secretary

Name Role Address
CHAUDHRY JUDITH SARNP Secretary 4424 Tuner Bend, Land O Lakes, FL, 34638

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000027096 SOLACE HEALTHCARE ACTIVE 2021-02-25 2026-12-31 No data 17222 HOSPITAL BLVD., SUITE 222, BROOKSVILLE, FL, 34601

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-09 4800 ROWAN ROAD, NEW PORT RICHEY, FL 34653 No data
CHANGE OF MAILING ADDRESS 2024-04-09 4800 ROWAN ROAD, NEW PORT RICHEY, FL 34653 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 4424 Tuner Bend, Land O lakes, FL 34638 No data
REGISTERED AGENT NAME CHANGED 2023-01-23 Chaudhry, Judith S No data
LC AMENDMENT 2018-06-29 No data No data
LC AMENDMENT 2017-10-10 No data No data
LC AMENDED AND RESTATED ARTICLES 2017-03-16 No data No data
REINSTATEMENT 2016-11-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
AMENDED ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-04-30
LC Amendment 2018-06-29
AMENDED ANNUAL REPORT 2018-04-10
AMENDED ANNUAL REPORT 2018-04-09

Related by officers

CHAUDHRY TANVEER AM.D.

MDPSYCH, LLC SOLACE HEALTH AND WELLNESS CENTER, LLC

CHAUDHRY JUDITH SARNP

SOLACE HEALTH AND WELLNESS CENTER, LLC

Related by address

19103 AVENUE BAYONNES, LUTZ, FL, 33558, US

CUSTOM CARE PHARMACY, LLC PZX MEDICAL SOLUTIONS, LLC PZX HOLDINGS LLC DEVAKE, INC. ILLUMINATED MIND VENTURES LLC SPTC PROPERTIES LLC VITA NUTRIENTS, LLC SOLACE HEALTH AND WELLNESS CENTER, LLC

4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653, US

TRINITY PSYCHIATRIC ASSOCIATES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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